I’m in charge of providing programming for a friend who I train. He’s recently been diagnosed with UC. His training has been hindered as a result of it because of the flares which have landed him in the ER on a couple of occasions. For his UC before and after diagnosis, he was prescribed:
Sucralafate, Mobic, Pepcid, Amoxicillin, and Prednisolone(temporary).
I’m looking for advice on how to progress his training and give him advice on how to train when he’s dealing with flare ups that are either mild, or god forbid, make him go to the ER.
He’s someone who loves to squat, bench, and deadlift, I’m somewhat afraid of his exertion being the cause for his flare ups because one that he experienced was after we lifted in the morning. I’m assuming that using RPE will be provided as advice too.
Physical exertion does not precipitate IBD flares. When his disease is well-controlled or minimally symptomatic, he can train essentially normally, and would autoregulate loading using RPE or similar.
If he has a flare-up requiring emergency care or hospitalization, training obviously becomes a secondary concern in that situation until he is discharged.
Also, this wasn’t your primary question, and I obviously have very limited knowledge of his case … but Mobic (meloxicam) is a non-steroidal anti-inflammatory drug; these should generally be avoided in patients with inflammatory bowel disease.
Thanks for your reply, I think most of his flare ups have been the result of high stress coming from school and some from relationship troubles, but since he’s been able to de-stress himself and remove himself from stressful environments, I’m happy to report that he hasn’t had a flare-up yet.
As far as the mobic prescription, even I was a little bit skeptical, but his GI doctor stated it was for anti-inflammatory properties to help with the UC. Insert he knows a lot more than me shoulder shrug here.